Karmenta empowers women

                      UPDATE CORONA     News     Login     Make an appointment:  +31-(0)73 - 7200 993

Pelvic floor training

Pelvic floor training

The pelvic floor is a tendon plate, that is strung between small hip bones (between the tailbone and pelvic bone, and between the two ischium humps) kind of like a hammock.

Information (Dutch)

De bekkenbodem is een spierpeesplaat, die als een soort hangmat is opgehangen aan de botten van het kleine bekken (tussen staartbeen en schaambeen en tussen de beide zitbeenknobbels). 

De bekkenbodem heeft twee hoofdfuncties:

  • Het dragen van de bekkenorganen blaas en darm
  • Het afsluiten van de verschillende openingen (urinebuis en anus)

De bekkenbodemspieren hebben direct invloed op het plassen, het vrijen en de ontlasting en indirect ondersteunen zij de houding en ademhaling van elk mens.

De bekkenbodemspieren staan onder invloed van onze wil en zijn dus selectief te trainen, hoewel we daar bijna nooit aan zullen denken. Meestal zullen we automatisch aanspannen bij actie van de buik-, bil- en beenspieren. Zijn de spieren echter, door welke reden dan ook, verzwakt, dan zullen ze niet automatisch meer meedoen, hetgeen klachten kan geven, bijv. incontinentie.

Met training kan de functie van de bekkenbodemspieren gestimuleerd worden. Omdat wij verwachten dat u daar baat bij zult hebben, heeft u deze informatie gekregen.

Indien u bij het oefenen meer instructie en advies wilt hebben, dan kunt u contact opnemen met een daartoe gespecialiseerde bekkenbodem-fysiotherapeute, waarvan u de adressen en telefoonnummers ook bij ons kunt opvragen.

Questions?

Please, do not hesitate to contact us


contact blok phone

Call by telephone

at 073 - 7200 993

 contact blok email

Ask your question

This email address is being protected from spambots. You need JavaScript enabled to view it.

   
  +31(0)73 - 7200 993
  • Explanation

    Leren voelen waar uw bekkenbodem zit

    Als u uw plas ophoudt, spant u voornamelijk het voorste deel van uw bekkenbodem aan. Als u uw ontlasting ophoudt, spant u voornamelijk het achterste deel van uw bekkenbodem aan. Probeer eens te spelen met het aan- en ontspannen van die spiervezels, zonder verder spieren aan te spannen van buik, bil of benen.

  • Treatment

    Het trainen van de bekkenbodemspieren

    Rustig aanspannen tot de bekkenbodem zo goed mogelijk opgespannen is 5 tellen vasthouden, terwijl u doorademt en zoveel mogelijk andere spieren ontspannen houdt rustig ontspannen, elk spiervezeltje loslaten.
    N.B.: De makkelijkste houding om goed te leren voelen wat u doet is: ruglig met opgetrokken knieën. Maar u kunt ook oefenen op uw buik of zij, of zittend, of staande.
    Voer elke oefening rustig en bewust uit. Voer het aantal oefeningen in de eerste week op van 25 tot 50 keer per dag (verdeeld over de dag). Als u geen 5 tellen kunt vasthouden, start u bijv. met 3 tellen en werkt u na verloop van 1 à 2 weken naar 5 tellen toe.

    Als u voelt dat u niet meer goed kunt optrekken en vasthouden, stopt u en probeert u het later weer. Ook op het toilet kunt u oefenen, maar niet tijdens het plassen (dan moet uw bekkenbodem ontspannen zijn, wél na het plassen.

    Resultaat kunt u in het algemeen niet zo snel verwachten als bij beenspierversterkende oefeningen (1 à 2 weken). Vaak zult u echt 3 maanden geduld moeten hebben en trouw blijven oefenen! U zult merken dat u na verloop van tijd meer gevoel voor het spannen van de bekkenbodem krijgt. U gaat automatisch uw bekkenbodemspieren gebruiken bij uw dagelijkse bezigheden. Bij extra belasting van de bekkenbodem zoals bij hoesten, tillen, rennen en springen, kunt u nu bewust uw bekkenbodemspieren gebruiken. Bv alles aanspannen voordat u iets zwaars optilt!

  • Costs

    Vergoeding door je zorgverzekering

    Vrijwel alle (verzekerde zorg) behandelingen bij Karmenta worden gefactureerd met een DBC-zorgproduct. De prijs op de nota van zo'n zorgproduct heeft een prijs uit de Passantentarievenlijst. Bij verzekerde zorg dien je de factuur in bij je zorgverzekeraar voor de vergoeding. De vergoeding hangt vervolgens natuurlijk ook af van de zorgpolis die je gekozen hebt en de voorwaarden. Bel eventueel met de zorgadministratie als je vragen hebt.

What does your treatment route look like?

These are the steps you follow during an operation at Karmenta (Dutch)
  • Preliminary planning
    Preliminary planning
  • pre-operative screening
    pre-operative screening
  • Final planning
    Final planning
  • The day of your surgery
    The day of your surgery
  • Follow-up Check-up
    Follow-up Check-up
  • Preliminary planning

    In consultation with Karmenta's gynaecologist, it has been decided to operate in the operating room (OR) or the outpatient treatment room (PBK) of Karmenta.

    The gynaecologist checks with the outpatient assistant when there is room on the OR program. You will be given a date on which your surgery will be scheduled. This schedule is always subject to change. In exceptional cases, the date may change. If this happens, you will of course receive a message from us. A few days before the date of the operation, the outpatient assistant will tell you exactly when you are expected. If you have any questions, please don't hesitate to call the outpatient assistant.

     

     

     

  • pre-operative screening

    We will ask you to complete a health questionnaire a few weeks before your procedure. You can easily do that online on our website, so you can do that right now. Karmenta's anesthetist will assess your completed questionnaire and, based on your answers, determine which anesthetic is best for you. Of course  there is room on the online form to indicate your own preference, but the anesthetist has the last word... possibly the anesthetist or the anesthesia nurse will contact you and sometimes they will ask you for a photo of your head and neck.

    Fill in the questionnaire as best you can, and be sure to indicate if you are unsure, or if you are afraid of something or if you want more information about something.

    Go to the online questionnaire  (Pre-operative screening)

  • Final planning

    If the pre-operative screening has been assessed and the anesthesia has approved your anaesthetic, our OR assistant Cynthia will plan the operation day. She will of course also keep an eye on whether all the necessary materials have been ordered, have been delivered on time and everything else is in order for your procedure on the day of your operation. An optimal order of all patients is made during the operation day and then the time is determined at which it is your turn.

    You will receive an email from our electronic patient file with the time of your procedure.

    What if you can't be scheduled?

    The anesthetist may see a problem with your surgery, or another problem may arise in the preparations for your surgery. It is not fair if we would schedule you for a procedure when all preparations are not 100% in order, so of course we will inform you immediately and consult with you. In principle, there are several options:

    WE SOLVE THE PROBLEM AND SCHEDULE YOU ON ANOTHER DAY FOR YOUR OPERATION

    That is annoying, but we do this because it is best for your health. Then only the day of your procedure will change and we will reschedule you. You do not have to complete your pre-operative screening again, unless the anesthetist asks you to, of course.

    WE REFER YOU TO ANOTHER CLINIC OR HOSPITAL

    If we cannot operate on you because we do not have the right facilities in our medical center, we will refer you to a hospital where these facilities are available. In most cases this will be a hospital in your area. We will discuss this with you and our gynecologist will discuss your situation, and your procedure, with her colleague in the hospital concerned.

  • The day of your surgery

    On the day of your procedure or operation, you naturally kept to the agreements that were made with you in advance. You report to the Karmenta desk of the Schijndel Medical Center, at Steeg 6 in Schijndel, at the agreed time. So the same place where you went for the consultation hour. Gerard sits there and he calls the holding company in the operation complex for you to see if they are ready to prepare you for your operation. He will also record the details of the person who will collect you after your procedure in the electronic patient file. Because often you are not allowed to drive or cycle home after your procedure.

    If administrative matters still need to be arranged, you can also arrange this with Gerard. You sit in the waiting room until the nurse from the holding company comes to pick you up.

    ON THE HOLDING

    The entrance to the OR complex is just behind the reception. First you can change in a room. You will be given surgery clothes to put on and the nurse will ask you who you are, when you were born and what surgery you are scheduled for (this will be done a few more times during your surgery). The nurse anesthetist will meet you and will discuss the planned anesthesia with you. Feel free to ask the questions you want to ask. The entire Karmenta team is focused on making you feel as comfortable as possible during your procedure. Do you want to play with your smartphone a bit, we have super fast WiFi if you log in to the WiFi network "MCS guest".

    THE PROCEDURE

    Ultimately, of course, you'll go to the operating room for your procedure and when you're done, they'll take you back to the recovery room to recover from your sedation. You return to the same nurses you had already met, and you can now also eat something. When you are a bit fresh again, the gynecologist will visit you to tell you how your procedure went.

    BACK HOME

    You've probably already texted him or her, but otherwise we'll make sure that the person who comes to pick you up gets a signal to pick you up. You'll have to wait a while for the team to release you from their care at the operating complex. If special arrangements need to be made with you, we will tell you and we will also make sure that you have understood it correctly. You will receive a letter of discharge and often also information for aftercare after your operation. Sometimes you will be given medication, for example for pain relief during the evening and night.

    Are you not feeling well at home, are you bleeding, or are you worried? Then don't hesitate and call Karmenta. Our special number for this is 073 - 7200 828

  • Follow-up Check-up

    An appointment is almost always made a few days after your procedure for the follow-up check-up. The appointment card is in the folder you received after your procedure, or an e-mail has been sent to you from the electronic patient file. During the follow-up consultation you will speak with the gynecologist who operated on you and she will discuss with you how the operation went and how you have recovered afterwards. Usually she will also want to see how your wound has healed. You also discuss any complaints and how you can best refurbish.

We’re in the middle of Brabant and will welcome you with open arms

And coffee in the waiting room! You’ll find us in the middle of Brabant, not far from ‘s-Hertogenbosch and Eindhoven. A 10 minute drive from the A2, right next to a square with tons of free parking space.

Medisch Centrum Schijndel

Visiting Address

Telephone : +31-(0)73 - 7200 993
Fax : +31-(0)73 - 7200 908
e-mail : This email address is being protected from spambots. You need JavaScript enabled to view it. 

Opening Times

  • Work days :

    08:30 - 17:30 uur

  • Lunch
    12:30 - 13:00 uur

Karmenta can be reached over the phone on all work days from 08:30 - 17:00

Karmenta op Zorgkaart Nederland